| Name: | Mount St. Rita Health Centre |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Non-Profit Corporation |
| Status: | Activ |
| Date of Organization in Rhode Island: | 03 Dec 1990 (34 years ago) |
| Identification Number: | 000062603 |
| ZIP code: | 02864 |
| County: | Providence County |
| Principal Address: | 15 SUMMER BROWN ROAD, CUMBERLAND, RI, 02864, USA |
| Purpose: | A) TO EMBODY THE MISSION OF THE HEALING MINISTRY OF JESUS IN THE ROMAN CATHOLIC CHURCH THROUGH THE CORPORATION’S PARTICIPATION IN THE ROMAN CATHOLIC HEALTH CARE SYSTEM (THE “SYSTEM”) SPONSORED BY COVENANT HEALTH SYSTEMS, A PUBLIC JURIDIC PERSON OF PONTIFICAL RIGHT UNDER THE LAWS OF THE ROMAN CATHOLIC CHURCH; TO FUNCTION AS AN INTEGRAL PART OF THE SYSTEM, AND IN CONNECTION THEREWITH TO ENGAGE IN THE DELIVERY, AND ACTIVITIES THAT FURTHER OR ARE RELATED TO OR ASSOCIATED WITH THE DELIVERY, OF HEALTH AND HUMAN SERVICES, EITHER DIRECTLY THROUGH FACILITIES OR PROGRAMS OWNED OR CONTROLLED BY THE CORPORATION OR INDIRECTLY BY ASSISTING AND SUPPORTING (FINANCIALLY AND OTHERWISE) COVENANT HEALTH, INC. (FORMERLY KNOWN AS COVENANT HEALTH SYSTEMS, INC.), A MASSACHUSETTS NON-PROFIT CORPORATION, AND OTHER ORGANIZATIONS WITHIN OR AFFILIATED OR ASSOCIATED WITH THE SYSTEM; TO OPERATE IN A MANNER CONSISTENT WITH THE TEACHINGS AND LAW OF THE ROMAN CATHOLIC CHURCH; AND TO RECOGNIZE AND EMBRACE THE SPIRIT AND TRADITIONS OF COVENANT HEALTH SYSTEMS, AS THE CURRENT SPONSOR OF THE CORPORATION, AND THE SISTERS OF MERCY OF THE AMERICAS, NORTHEAST COMMUNITY, AS THE ORIGINAL SPONSOR OF THE CORPORATION. B) TO ESTABLISH, OPERATE AND MAINTAIN A SKILLED NURSING FACILITY IN CUMBERLAND, RHODE ISLAND IN A MANNER CONSISTENT WITH THE TEACHINGS OF THE ROMAN CATHOLIC CHURCH, TO PROVIDE MEDICAL, NURSING, REHABILITATION, EDUCATIONAL AND SOCIAL SERVICES AS MAY BE CONSISTENT WITH THE OPERATION OF A SKILLED NURSING FACILITY, AND TO CONDUCT ANY AND ALL ACTIVITIES RELATED THERETO.(C) TO ADVANCE THE KNOWLEDGE AND PRACTICE OF MEDICINE AND NURSING, INCLUDING THE PROVISION OF LONG TERM CARE AND GERIATRIC SERVICES, THROUGH RESEARCH AND EDUCATION RELATING TO CARE, TREATMENT AND HEALING. (D)TO PARTICIPATE, AS FAR AS CIRCUMSTANCES MAY WARRANT, IN ANY ACTIVITY DESIGNED AND ESTABLISHED TO PROMOTE THE GENERAL HEATH, REHABILITATION AND SOCIAL NEEDS OF THE COMMUNITY.(E) TO RECEIVE BY GIFTS, DEVISES, BEQUESTS, OR OTHERWISE, ANY KIND OF PROPERTY, ABSOLUTELY OR IN TRUST, THE PRINCIPAL OR INCOME OF THE SAME TO BE USED FOR THE FURTHERANCE OF ANY OF THE PURPOSES DESIGNATED HEREIN.(F) TO ENGAGE GENERALLY IN ANY ACTIVITY IN FURTHERANCE OF THE CORPORATION'S RELIGIOUS, CHARITABLE, EDUCATIONAL AND SCIENTIFIC PURPOSES THAT MAY LAWFULLY BE CARRIED ON BY A CORPORATION FORMED UNDER THE RHODE ISLAND NONPROFIT CORPORATION ACT, AS AMENDED OR SUPPLEMENTED FROM TIME TO TIME, TO THE EXTENT THAT SUCH ACTIVITY IS CONSISTENT WITH SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. |
| NAICS: | 813319 - Other Social Advocacy Organizations |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1649276726 | 2005-06-23 | 2020-08-22 | 15 SUMNER BROWN RD, CUMBERLAND, RI, 028641214, US | 15 SUMNER BROWN RD, CUMBERLAND, RI, 028641214, US | |||||||||||||||||||||||
|
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| Phone | +1 401-333-6352 |
Authorized person
| Name | MRS. JULIE RICHARD |
| Role | ADMINISTRATOR |
| Phone | 4013336362 |
Taxonomy
| Taxonomy Code | 314000000X - Skilled Nursing Facility |
| License Number | 555 |
| State | RI |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 4105085 |
| State | RI |
| Name | Role | Address |
|---|---|---|
| COGENCY GLOBAL INC. | Agent | 222 JEFFERSON BOULEVARD, WARWICK, RI, 02888, USA |
| Name | Role | Address |
|---|---|---|
| KERRY DZIKIEWICZ | PRESIDENT | 15 SUMNER BROWN ROAD CUMBERLAND, RI 02864 USA |
| Name | Role | Address |
|---|---|---|
| PETER KENNAN, CPA | TREASURER | 15 SUMNER BROWN ROAD CUMBERLAND, RI 02864 USA |
| Name | Role | Address |
|---|---|---|
| JOSEPH MALLEY | SECRETARY | 15 SUMNER BROWN ROAD CUMBERLAND, RI 02864 USA |
| Name | Role | Address |
|---|---|---|
| KERRY DZIKIEWICZ | ADMINISTRATOR | 15 SUMNER BROWN ROAD CUMBERLAND, RI 02864 USA |
| Name | Role | Address |
|---|---|---|
| DEBRA LEE SERVELLO, DNP, ANCP | DIRECTOR | 15 SUMNER BROWN ROAD CUMBERLAND, RI 02864 USA |
| PETER KEENAN, CPA | DIRECTOR | 15 SUMNER BROWN ROAD CUMBERLAND, RI 02864 USA |
| ARMAND BRUNELLE | DIRECTOR | 15 SUMNER BROWN ROAD CUMBERLAND, RI 02864 USA |
| GARY ROBEY | DIRECTOR | 15 SUMNER BROWN ROAD CUMBERLAND, RI 02864 USA |
| SUZANNE LACHAPELLE, RSM | DIRECTOR | 15 SUMNER BROWN ROAD CUMBERLAND, RI 02864 USA |
| DON HOUDE | DIRECTOR | 15 SUMNER BROWN ROAD CUMBERLAND, RI 02864 USA |
| BOYD PETER KING, M.D. | DIRECTOR | 15 SUMNER BROWN ROAD CUMBERLAND, RI 02864 USA |
| MARTHA MULLIGAN, RSM | DIRECTOR | 15 SUMNER BROWN ROAD CUMBERLAND, RI 02864 USA |
| PATRICIA S. VIEIRA, APR | DIRECTOR | 15 SUMNER BROWN ROAD CUMBERLAND, RI 02864 USA |
| MARYPATRICIA MURPHY, RSM | DIRECTOR | 15 SUMNER BROWN ROAD CUMBERLAND, RI 02864 USA |
| Number | Name | File Date |
|---|---|---|
| 202455684150 | Statement of Change of Registered/Resident Agent | 2024-06-11 |
| 202455064880 | Annual Report | 2024-05-30 |
| 202335564350 | Annual Report | 2023-05-11 |
| 202221228160 | Statement of Change of Registered/Resident Agent | 2022-07-13 |
| 202221225790 | Annual Report | 2022-07-13 |
| 202220568140 | Revocation Notice For Failure to File An Annual Report | 2022-06-28 |
| 202199606690 | Annual Report | 2021-07-28 |
| 202046827210 | Annual Report | 2020-07-29 |
| 201905598450 | Annual Report | 2019-07-19 |
| 201873755080 | Annual Report | 2018-08-02 |
Date of last update: 07 Oct 2024
Sources: Rhode Island Department of State
